Apple Health - Vivitrol® no longer requires prior authorization

Washington State Health Care Authority sent this bulletin at 01/11/2017 08:43 AM PST

Apple Health (Medicaid): Provider Alert

Dear Provider,

Effective for
claims with dates of service on and after January 9, 2017, the Health Care Authority’s Apple
Health Fee-for-Service program will no longer require authorization for
Vivitrol®.

Effective
for claims with dates of service on and after March 6, 2017, Health Care Authority’s contracted
Managed Care Organizations (MCOs) will no longer require authorization for
Vivitrol®.Some MCOs may remove
authorization requirements sooner.Please consult your patient’s specific MCO for current authorization
requirements if initiating treatment prior to March 6, 2017.

Please do
not reply directly to this message. If you have feedback
or questions, please visit the HCA
website for contact information.

About
WashingtonStateHealth Care AuthorityHCA oversees the state’s top
two health care purchasers — Washington Apple Health (Medicaid) and the Public
Employee Benefits Board Program. We work with partners to help ensure
Washingtonians have access to better health and better care at a lower cost. For
more information, visit www.hca.wa.gov.